VA 10-0137 2006 free printable template
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VA FORM DEC 2006 RS 10-0137 Page 1 of 6 PART II DURABLE POWER OF ATTORNEY FOR HEALTH CARE This section of the advance directive form is called a Durable Power of Attorney for Health Care.
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How to fill out VA 10-0137
How to fill out VA 10-0137
01
Obtain a copy of VA Form 10-0137 from the official VA website or your nearest VA facility.
02
Fill out the personal information section at the top of the form, including your name, Social Security number, and contact information.
03
Indicate your eligibility by selecting the appropriate options regarding your service history and any other relevant details.
04
Provide information regarding the nature of your request or claim, as required by the form.
05
Review your entries for accuracy and completeness.
06
Sign and date the application at the designated section.
07
Submit the completed form to the appropriate VA facility by mail or in person.
Who needs VA 10-0137?
01
Veterans seeking to apply for certain VA healthcare benefits and services.
02
Eligible active-duty service members and certain family members who are entitled to VA healthcare.
03
Individuals who are looking for assistance in obtaining covered medical services through the VA.
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People Also Ask about
Is an advance directive the same as a living will in Virginia?
All adults in Virginia have a right to prepare a document to put their medical care wishes in writing. An Advance Directive lets other people know the types of medical care you do and do not want if you are unable to express your wishes on your own. Many people call these instructions a “living will.”
What is the VA form for advance directives?
VA's advance directive is VA Form 10-0137. It includes both a Durable Power of Attorney for Health Care section and a Living Will section. On the VA advance directive form, you can choose how strictly you want your surrogate and health care team to follow the preferences included in your Living Will.
What is required for an advance directive in Virginia?
A written advance directive shall be signed by the declarant in the presence of two subscribing witnesses and may (i) specify the health care the declarant does or does not authorize; (ii) appoint an agent to make health care decisions for the declarant; and (iii) specify an anatomical gift, after the declarant's death
Does an advance directive need to be notarized in Virginia?
Does an Advance Directive in Virginia need to be notarized? No. An Advance Directive registry for Virginia is being developed, and when it becomes operational, a notary will be required to post an Advance Directive on the registry. Advance Directives without a notary still will be valid for other purposes.
Who can witness advance directive in Virginia?
Can the person I appoint as my agent be a witness when I sign my advance directive? Virginia law places no restrictions on which adults can be witnesses to your signing your advance directive. So, legally, your agent can be a witness on your advance directive.
What is VA form 10-0137?
Use VA Form 10-0137 to give specific people permission to make health care decisions for you, and to let VA health care providers know your wishes for medical, mental health, long-term, and other types of care.
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What is VA 10-0137?
VA 10-0137 is a form used by Veterans Affairs to report and collect information regarding medical care and services provided to veterans.
Who is required to file VA 10-0137?
Individuals or facilities that provide medical care or services to veterans, particularly those seeking reimbursement or payment from the VA for those services, are required to file VA 10-0137.
How to fill out VA 10-0137?
To fill out VA 10-0137, enter the required veteran identification information, the details of the care provided, including dates and types of services, and any associated costs. Ensure all information is accurate and complete before submission.
What is the purpose of VA 10-0137?
The purpose of VA 10-0137 is to facilitate the documentation and processing of medical claims for veterans, ensuring that they receive the benefits and compensation for services rendered.
What information must be reported on VA 10-0137?
VA 10-0137 must report information including the veteran's personal details, the service provider's information, a description of the medical services provided, dates of treatment, and any costs incurred.
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